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WO2011110420A1 - Palmar thumb and thumb saddle joint splint - Google Patents

Palmar thumb and thumb saddle joint splint

Info

Publication number
WO2011110420A1
WO2011110420A1 PCT/EP2011/052603 EP2011052603W WO2011110420A1 WO 2011110420 A1 WO2011110420 A1 WO 2011110420A1 EP 2011052603 W EP2011052603 W EP 2011052603W WO 2011110420 A1 WO2011110420 A1 WO 2011110420A1
Authority
WO
Grant status
Application
Patent type
Prior art keywords
thumb
rail
hand
part
joint
Prior art date
Application number
PCT/EP2011/052603
Other languages
German (de)
French (fr)
Inventor
Kalman Bolla
Original Assignee
Chrisofix Ag
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058Splints
    • A61F5/05841Splints for the limbs
    • A61F5/05858Splints for the limbs for the arms
    • A61F5/05866Splints for the limbs for the arms for wrists, hands, fingers or thumbs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0118Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers

Abstract

A palmar thumb and thumb saddle joint splint (10) comprises a first splint part (11) for receiving the thumb (17) and means (14, 15) for fastening the first splint part (11) to the hand (16). All possible movements in the area of the thumb saddle joint are prevented in a simple way by the first splint part (11) being formed as a shell part that is open at the top and is intrinsically stiff but can be deformed plastically with the hand, in which shell part the thumb (17) can be laid; by the first splint plant (11) being connected firmly to a side-of-the-hand part (12) that is intrinsically stiff but can be deformed plastically with the hand and, when the splint is put in place, embraces the side of the splinted hand (16); and by the fastening means comprising first and second fixing strips (14, 15) which are intrinsically stiff but can be deformed plastically with the hand, wherein the first fixing strip (14) runs from the side-of-the-hand part (12) over the back of the hand to the first splint part (11), and the second fixing strip (15), starting from the side of the hand part (12), is led through between thumb (17) and index finger (18) of the splinted hand (16) to the first splint part (11).

Description

Palmar thumb and thumb saddle joint rail

The present invention relates to the field of medical rails. It relates to a palmar thumb and carpometacarpal joint rail according to the preamble of claim 1.

The thumb of the human hand has a high mobility and a wide range of motion to perform complicated Creifbewegungen in cooperation with the other fingers of the hand. Major share of this mobility, the different, special in their education joints of the thumb. A central role is played by the so-called "thumb saddle joint" (carpometacarpal joint) between the members of the carpal large trapezoid bone (trapezium) and the first metacarpal bone (os metacarpi). Both bone enter like a saddle shaped articulation end, wherein the joint surfaces of the bones are arranged transversely to each other. By this arrangement, movements about two mutually perpendicular oriented principal axes are possible in the thumb saddle joint.

One of these movements, which extends obliquely in a plane at hand level is referred to as opposition or reduction. In opposition of the thumb is opposite the other fingers to form the gripping tongs. Repositioned he is with them on a plane. The other movement includes abduction and adduction of the thumb. Abduction refers to the abduction of Metakarpalabschnitts including thumb, adduction their application to the hand at Re or opposition. If the thumb is radially spread away from the index finger, he also takes a repositioning and abduction. He is the other fingers splayed palmar opposite (open gripping tongs), he is abducted in the saddle joint and opposes. Most thumb movements are those combinations of movement around both axes of the saddle joint. Such a combi- of adduction, abduction, flexion and extension takes place at the thumb circles (circumduction). As an opposition movement from a combination of adduction, flexion and internal rotation of the thumb is understood.

Is now targeting the thumb saddle joint to be immobilized, the movements to which the thumb saddle joint is involved, be specifically limited or prevented entirely need.

From the prior art, a plurality of thumb rails is known, however, which are not or not fully reach all of the desired immobilization of the carpometacarpal joint. Thus, for example from document CH 690954 a thumb splint is known in which a H ülse is provided for receiving the thumb, which is formed of two open thumb shells. The H ülse merges into a dorsal portion and a palm portion, which only partly surround the hand on the thumb side, and are interconnected by means of an externally guided around the hand edge of the flexible band. Off duktions- and opposition movement can not be effectively prevented by this rail configuration. The same is true for the center hand thumb splint from EP 0,143,348 and the rail from DE 30 06 362nd

DE 35 1 9493 a thumb splint for immobilizing the thumb saddle joint and the thumb Crundgelenks is known which consists of a solid shaped article which comprises the thumb and hand at least partially. The mold body forms a hand enclosing clasp, the ends of which overlap in areas remote from the thumb of the hand and be connected at the overlap one another by a Velcro fastener. The molded body is integrally formed and consists of a plastic. At the clasp is a half-shell on the outside of the thumb directly adjoins, which is closed with a clamping band, and formed out of one at the point of transition clasp half-shell, which projects into the region between the thumb and palm tongue consists. Clasp and half-shell practice after closing pressure on the hand and the thumb. The intended to protect the saddle joint tongue has a free end and must therefore be designed to be very stable in order to allow the necessary fixation. By the tongue adduction of the thumb is prevented, but not an abduction, and especially not a movement between the opposition and reposition. The tongue is also uncomfortable about it because it cuts with the sharp side edges in the thumb and hand when the thumb is moved into adduction.

Other Daum rails as they are known, for example, from US 6,520,925 or US 5,746,707, fix the thumb only on a flat surface, which is not sufficient for the splinting of etacarpalbereiches generally. The same is true for rails of the type shown in WO 2007/066367.

It is therefore an object of the present invention to provide a palmar thumb and thumb saddle joint rail that allows a specific and complete immobilization of the thumb saddle joint, has a simple design, can be put on easily and without special tools and is characterized by a high wearing comfort , In particular, the palmar thumb and thumb saddle joint rail should be useful in the treatment of Rh i- zarthrose and safely stop the painful movements of the affected by the osteoarthritis joints.

The object is achieved by the totality of the features of claim 1. The inventions dung according palmar thumb and carpometacarpal joint rail is characterized in that a first rail portion for receiving the thumb as rigid in itself, but plastically deformable by hand, is formed an upwardly open shell part, into which the thumb put into it can that the first rail part is fixedly connected to an inherently rigid, but with the hand plastically deformable hand edge part, which, when applied rail comprises hand edge of the splinted hand and that the fastening means in itself rigid but plastically deformable by hand, first and is second fixing strips include, wherein the first fixing strip extends from the lateral edge portion on the back of the hand to the first rail part and the second fixing strip by hand edge portion passed starting between the thumb and forefinger of the splinted hand to the first rail part.

In this way, the four fingers of the hand and the thumb are fixed each effective for at composed of the first rail part and the lateral edge portion of rail base element with minimal rail effort, so that a movement of both hand portions reliably prevented relative to each other, using the thumb saddle joint becomes.

An embodiment of the present invention palmar thumb and thumb saddle rail is characterized in that a fastening clip is arranged on the first rail part which can be placed around the lying in the first rail part thumb around and fixed to the free end of the first rail part, so that the flexion the metacarpophalangeal joints can be prevented.

Another embodiment of the palmar thumb and carpometacarpal joint rail is characterized in that the hand edge portion consists of the same material as the first rail part and a continuation of the first rail part is formed.

A further embodiment is characterized in that the lateral edge portion is connected with a fixing lug which extends under an applied rail on the back of the hand of the splinted hand and that of the second fixing strip with one end fixed to the fixing tab.

Preferably, the fixing tab while the same material as the hand edge portion and forms a continuation of the lateral edge portion. Another embodiment of the invention is characterized in that the first fixing strip is fixed to the one end of the hand edge portion and at the other end on the first rail part.

Specifically, the first fixing strip at both ends is removably attached, and the attachment is carried out in the manner of a Velcro fastener.

Preferably, the releasable attachment of the second fixing strip at the palmar thumb and carpometacarpal joint rail in the manner of a Velcro fastener occurs.

The easy adaptability and high comfort when worn the rail can be achieved in that the inherently rigid, there are, however, by hand plastically deformable elements of the palmar thumb and carpometacarpal joint rail of a material containing as a core a transversely corrugated aluminum sheet in particular , Such a splint material is known for example from WO 97/2231 2, is expressly made to the account of the choice of materials and dimensions of the corrugated sheet.

The invention will be explained in more detail with reference to an embodiment in conjunction with the figures. Show it:

Figure 1 is a side view of the application of a palmar thumb and carpometacarpal joint rail according to an embodiment of the invention with additional saddle joint fixing strip for fixing the thumb saddle joint.

Fig. 2, the splinted hand of Figure 1 in a view obliquely from above.

Fig. 3, the splinted hand of Figure 1 in a view from below. and Fig. 4 shows the configuration of the off-hook of the hand rail in Fig. 1

In Figs. 1, 2 and 3 an embodiment of a palmar thumb and carpometacarpal joint rail in use on one hand from different angles is illustrated. Fig. 4 shows the same rail according to the decrease of the hand.

Crundelement the palmar thumb and thumb saddle shown in FIGS rail 1 0 is a rigid in itself, but plastically deformable by hand first rail part 1 1, in which the thumb is 1 7 etacarpalbereich inserted with its top. Due to its without further H ilfsmittel possible plastic deformation of the first rail part can be adapted to the respective shape of the thumb 1 7 1 1 in order to achieve a comfortable and safe support of the thumb 1 7 in Metacarpalbereich. The intrinsic stiffness and plastic deformation is preferably achieved by use of a bar material which is described in the abovementioned WO 97/2231 2 in detail and whose mechanical properties are due to the specific properties of a cross-corrugated aluminum sheet.

As can be seen in Fig. 4, the material of the first rail member 1 1 may be provided with advantage on both sides with (different) cover layers, wherein the surface facing the skin side to further improve the wearability equipped even with prolonged use, for example, with a skin-friendly, breathable padding is, while a cover material is used on the outside with advantage, which may be part of a hook and loop fastener (by formation of surface distributed loops or hooks). This covering material may extend to permit attachment of additional elements Velcro at any point of the rail, in particular over the entire surface. Moreover, the rail material and optionally also the fixing elements - be provided with a perforation, pass through the air in addition to the splinted areas or skin perspiration can be released to the outside - as can be seen in the figures.

A first fixing of the thumb 1 7 in the integrally formed first rail part 1 1 is a positioning strap 1 is located 3 to the first rail part 1 1 transversely to the thumb longitudinal direction which put around the in-rail part 1 1 Thumb 1 7 around and with the free end on the first may be the rail part 1 1 is fixed (see in particular Fig. 1). The fixing bracket 1 3 may be, for example, from a conventional flexible strip material. Preferably, the fixing plate 1 on the first rail part 3 1 1 is fixed by means of a Velcro fastener which exploits the properties of the outer cladding layer of the first rail member 1. 1 Since the fixing brackets 1 3 is compared with the first rail part 1 1 of a comparatively small width, the end link of the thumb 1 7 in the first rail part (1 1) has in spite of this fixing sufficient freedom of movement.

As a further member comprises the palmar thumb and carpometacarpal joint rail 1 0 as the second rail part a clearly visible in Fig. 3 and 4, hand edge portion 1 2, which is connected to the first rail member 1 1 in a one-piece unit, and with an applied rail hand edge of the includes splinted hand 1 6 laterally. The first rail part 1 1 and hand edge portion 1 2 together form a supporting surface for the hand 1 6 and thus fix in a first step the position of the splinted thumb 1 7 relative to the hand 1 6. The hand edge portion 1 2 is made of the same material as the rail member 1 1 and is therefore in the same way inherently rigid and plastically deformable by hand, so that it can be easily and permanently adapted to the hand shape.

Hand edge portion 1 2 merges in a further fixing plate 1 2a which extends under applied rail on the back of the hand of the splinted hand 1 6 (see in particular Fig. 2) and made of the same rigid in itself, but plastically deformable by hand material, is like the hand edge part 1 2. as shown in Fig. 2 and Fig. 3 clearly visible, is to fix the four fingers of the remaining hand on the palmar thumb and thumb saddle joint rail 1 0 a stiff in itself, but plastic hand deformable fixing strip 1 5 is attached, which is guided between the thumb and forefinger 7 1 1 8 of the splinted hand 1 through 6 and is fastened releasably on the palmar 1 0 thumb and thumb saddle rail. The releasable fastening of the fixing strip 1 5 on the palmar thumb and carpometacarpal joint rail 1 0 preferably takes place in the manner of a hook and loop fastener, wherein the one end is attached with advantage to the fixing plate 1 2a (Fig. 2).

Another Crundelement the palmar thumb and carpometacarpal joint rail 1 0 next to the first rail part 1 1 and the hand edge portion 1 2 is a more rigid in itself, but plastically deformable by hand, guided through the back of the hand of the splinted hand 1 6 fixing strip 1 4 ( see in particular Fig. 2). The fixing strip 1 4 is formed as a separate part and to both ends of the first rail part 1 1 and 1 2 hand edge portion detachably attached, the attachment again is carried out in the manner of a Velcro fastener. Since the fixing strips 14 - in contrast to a flexible fastening tape of the usual type - itself consists of splinting material, it can be adjusted in the same manner to the respective hand shape and contributes significantly to the fixation. In particular, it fixes the rest in the first rail part 1 1 1 7 thumb relative to the rest of the hand. Through the two fixing strips 14 and 1 5 are so - separately for itself - the four fingers of the hand and the thumb fixed in each case in the group consisting of the parts 1 1 and 1 2 existing rail so that any movement in the metacarpophalangeal joint and the thumb saddle joint , in particular the movement opposition and reposition, is reliably prevented and in a convenient way.

Overall, the invention results in a palmar thumb and thumb saddle rail, which allows for local and selective immobilization of the thumb saddle joint, in particular in the first carpometacarpal joint, easy to use, it can be used even in an emergency without additional aids and is characterized by a high level of comfort.

However, it is also conceivable for the first and second fixing strips do not run 1 4 and 1 5 of an inherently rigid but plastically deformable material by hand, but form as textile tapes. In this case, the rail 1 0 fixed still the metacarpophalangeal joint and can be used with advantage as palmar thumb splint.

LIST OF REFERENCE NUMBERS

1 0 palmar thumb and carpometacarpal joint rail

1 1, first rail part

1 2 hand edge portion (second rail part)

1 2a positioning strap

1 3 positioning strap

14, 1 5 fixing strip

1 6 Hand

1 7 thumbs

1 8 forefinger

Claims

claims
1 . Palmar thumb and carpometacarpal joint rail (1 0), comprising a first rail portion (1 1) for receiving the thumb (1 7), and means (1 4, 1 5) for attaching the first rail part (1 1) at the hand (1 6), characterized in that the first rail part (1 1) as the rigid in itself, but plastically deformable by hand, is formed open at the top shell portion, in which the thumb (1 7) can be put into it, that the first rail part (1 1) is fixed to an inherently rigid but plastically deformable by hand hand edge portion (1 2) is connected, which, when applied rail comprises hand edge of the splinted hand (1 6) and that the fastening means rigid in itself, however, with hand plastically deformable, first and second fixing strips (1 4, 1 5), wherein the first fixing strip (1 4) extends from the edge of the hand part (1 2) on the back of the hand to the first rail part (1 1), and the second fixing strip ( 1 5) from Handkan tenteil (2: 1) starting between the thumb (1 7) and forefinger (1 8) of the splinted hand (6: 1) through to the first rail part (1 1) is guided.
2. Palmar thumb and carpometacarpal joint rail according to claim 1, characterized in that on the first rail part (1 1) is arranged a fixing bracket (1 3) which thumb lying around the first rail part (1 1) (1 7) wrapped and with the free end of the first rail part (1 1) can be fixed.
3. Palmare thumb and carpometacarpal joint rail according to claim 1 or 2, characterized in that the hand edge portion (1 2) is made of the same material as the first rail part (1 1) and a continuation of the first rail part (1 1).
4. Palmare thumb and carpometacarpal joint rail according to one of claims 1 to 3, characterized in that the lateral edge portion (1 2) having a fastening clip (1 2a) is connected extending under an applied rail on the back of the hand of the splinted hand (1 6), and that the second fixing strip (1 5) is fixed at one end to the fixing lug (1 2a) to the.
5. Palmare thumb and carpometacarpal joint rail according to claim 4, characterized in that the fixing lug (1 2a) consists of the same material as the lateral edge part (1 2) and a continuation of the lateral edge portion (1 2).
6. Palmare thumb and carpometacarpal joint rail according to one of claims 1 to 5, characterized in that the first fixing strip (1 4) having one end at the edge of the hand part (1 2) and with the other end on the first rail part (1 1) is attached.
7. Palmare thumb and carpometacarpal joint rail according to claim 6, characterized in that the first fixing strip (1 4) is detachably fastened at both ends, and that the fixing is carried out in the manner of a Velcro fastener.
8. Palmare thumb and carpometacarpal joint rail according to one of claims 1 to
7, characterized in that the releasable attachment of the second fixing strip (1 5) on the palmar thumb and carpometacarpal joint rail (1 0) is carried out in the manner of a Velcro fastener.
9. Palmare thumb and carpometacarpal joint rail according to one of claims 1 to
8, characterized in that the rigid in itself, but with the hand plastically deformable elements (1 1 .., 1 5) of the palmar thumb and thumb saddle rail (1 0) consist of a material which acts as a corrugated core contains aluminum sheet.
PCT/EP2011/052603 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint WO2011110420A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CH302/10 2010-03-08
CH3022010 2010-03-08

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
ES11712189T ES2540988T3 (en) 2010-03-08 2011-02-22 palmar splint thumb and saddle joint of the thumb
EP20110712189 EP2544636B1 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint
DK11712189T DK2544636T3 (en) 2010-03-08 2011-02-22 Palmar thumb and tommelfingerrodledsskinne
US13583867 US20130197411A1 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint

Publications (1)

Publication Number Publication Date
WO2011110420A1 true true WO2011110420A1 (en) 2011-09-15

Family

ID=42244592

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP2011/052603 WO2011110420A1 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint

Country Status (5)

Country Link
US (1) US20130197411A1 (en)
EP (1) EP2544636B1 (en)
DK (1) DK2544636T3 (en)
ES (1) ES2540988T3 (en)
WO (1) WO2011110420A1 (en)

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Publication number Priority date Publication date Assignee Title
DE202014103362U1 (en) 2014-07-22 2014-09-05 Christine Meyer A device for relief of symptoms of a carpometacarpal joint disease from degenerative, inflammatory and rheumatic diseases.

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DE102012008565A1 (en) * 2012-04-26 2013-10-31 Bsn Medical Gmbh Thumb

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EP0143348A1 (en) 1983-10-31 1985-06-05 Reinhold Hauber Strickwarenfabrik Gmbh & Co. KG Metacarpal thumb splint
DE3519493A1 (en) 1985-05-31 1986-12-04 John & Bamberg Orthopaedie Tec Splint for the immobilisation of the saddle joint and of the metacarpophalangeal joint of the thumb
WO1996027349A1 (en) * 1995-03-07 1996-09-12 Wurmli Hans Peter Digit support
WO1997022312A1 (en) 1995-12-20 1997-06-26 Chrisofix Ag Medical splint, metal sheet for such a splint and its use
US5746707A (en) 1996-09-30 1998-05-05 Eck; Donald R. Carpel tunnel syndrome external brace
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US6702772B1 (en) * 2000-03-06 2004-03-09 Judy C. Colditz Thumb CMC restriction splint
US6520925B1 (en) 2000-09-06 2003-02-18 Calvin Thibodo, Jr. Splint system for the thumb
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202014103362U1 (en) 2014-07-22 2014-09-05 Christine Meyer A device for relief of symptoms of a carpometacarpal joint disease from degenerative, inflammatory and rheumatic diseases.
WO2016011999A1 (en) 2014-07-22 2016-01-28 Meyer Christine Device for alleviating the complaints of a trapeziometacarpal joint disease from the degenerative, inflammatory, and rheumatic spectrum

Also Published As

Publication number Publication date Type
US20130197411A1 (en) 2013-08-01 application
DK2544636T3 (en) 2015-06-22 grant
ES2540988T3 (en) 2015-07-15 grant
EP2544636A1 (en) 2013-01-16 application
EP2544636B1 (en) 2015-04-08 grant

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